I-Fibromyalgia iyinkimbinkimbi ephazamisayo futhi engacaciswanga kahle evezwe ubuhlungu obubanzi kanye nobubele obuhambisana nokukhathala, ukulala, inkumbulo, kanye nezinkinga zomathunjini. Ngenxa yokuthi izibonakaliso ezinokwenzeka kakhulu (futhi azikho ukuvumelana okucacile mayelana nendlela yokuhlolisisa lesi sifo), kuyobe kuqondakala uma ngezinye izikhathi uzizwa sengathi uyahamba.
Kodwa awukho.
I-Fibromyalgia ingase ingaqondwa kahle, kodwa ingokoqobo. Ngokuqonda kangcono izibonakaliso nezibonakaliso zesifo, ungasiza udokotela wakho enze ukuxilongwa okunolwazi nokuthola ukwelashwa okungase kuthuthukise kakhulu izinga lakho lokuphila.
Izimpawu zesimpawu
I-Fibromyalgia yisimo lapho izibonakaliso zobuhlungu ziqhutshwa ngendlela engavamile ngayo ubuchopho ngendlela yokuthi isipiliyoni sobuhlungu sikhuphuka (isimo esibizwa ngokuthi i- hyperalgesia ).
I-fibromyalgia ayiyona into efanayo ne-muscle aches (i-myalgia), ubuhlungu obuhlangene (i-arthralgia), noma ubuhlungu benhliziyo (neuralgia). I-Fibromyalgia ibangela ubuhlungu obungapheli, obubanzi obukwazi ukuhamba ngobukhulu kusukela ekunciphiseni kuya ekukhulekeleni. Ukubhekwa njengokusakazeka, ubuhlungu kufanele bube khona ezinhlangothini zombili zomzimba wakho nangaphezulu nangaphansi kwesigqoko.
Izimpawu ezibuhlungu ezingaqondakali zingavusa izimpendulo ezahlukene kubantu abahlukene. Kwamanye, ubuhlungu bungathuthela emagagasi emzimbeni noma kubangele ukuzwa okungavamile njengokukhipha, ukuvutha, noma ukushaya, ikakhulukazi ezandleni (okubizwa ngokuthi i- paresthesia ).
Ngisho nokugqugquzela okungavangeli ukuhlunguphaza, njengokuthinta noma ukushisa, ngokuvamile kungabangela ukuzwa okubuhlungu noma okuvuthayo (okubizwa ngokuthi i- allodynia ).
Nakuba i-fibromyalgia ibonakala ubuhlungu obungapheli obuvamile, ubuhlungu buvame ukutholakala ezindaweni ezizungezile izintambo, amahlombe, amadolo, intamo, iziqhakazi, isifuba, emuva okuphansi, nangemva kwekhanda.
Sibhekisela kulawa maphuzu amathenda . Ubuhlungu kulezi zindawo angeke buzwakale ngokujulile kodwa kunalokho bukhona ngaphansi kwesikhumba.
Ubuhlungu be-Fibromyalgia bungase buchazwe ngokuhlukile ngokuthi bubukhali, bukhuni, bukhuni, bubuhlungu noma bugwaza. Ngenkathi abanye abantu bezoba nezimpawu ezingaguquguquki zezimpawu ze-fibromyalgia, abanye bangase babe nezikhathi zesenzo esiphansi sezifo ( ukuxoxwa ) noma ukuqina okungazelelwe kwezimpawu ( ama-flares ). Ama-flares kanye neziqephu ezibuhlungu ezibuhlungu ngokuvamile zihambisana nezinhlanzi zenhliziyo .
Akudingeki ukuthi ube nazo zonke izimpawu ezizohlolwa nge-fibromyalgia .
Izimpawu zeMisipha nezokuhlanganyela
I-Fibromyalgia ayiyona isifo esihlangene esifana ne-arthritis, kodwa singabangela izimpawu ezihlobene ngokuhlanganyela. Iningi, futhi mhlawumbe lonke, amacala e-fibromyalgia ahlanganisa izimpawu zamathambo alula, kufaka phakathi izicubu nezicubu ezixhumene nazo (njengama-tendon, ligaments, ne-fascia).
Izimpawu zingafaka:
- Ukuqina kokusa
- Ama-spasms ama-twitches (ama-fasciculations)
- Ubuthakathaka besisu, ikakhulu emilenzeni
- Ukuvuvukala okungenakuvuvukala kwamalungu, izandla, nezinyawo
- Ubuhlungu obuhlangene buzungeze i-tendon
- Isifo esihlangene se-Temporomandibular (TMJ)
Izimpawu ezicatshangelwayo
"Inkungu ye-Fibro," eyaziwa nangokuthi "ubuchopho bobungqondo," ingenye yezimpawu ezithandwa kakhulu ze-fibromyalgia.
Abantu abaningi abaphila nalesi sifo bayokutshela ukuthi izimpawu zokukhubazeka kwengqondo zibucayi njengalokhu ubuhlungu ngokwayo.
Izimpawu zingafaka:
- Ukukhohlwa
- Ukudideka
- Inkinga igxila
- Ukulahleka okwesikhashana kokujwayele indawo yakho
- Ukuqonda okungaqondakali
- Kunzima ukukhuluma amagama aziwayo (i-dysphasia)
- Isiqondiso esibucayi sokuqondisa noma isikhala (topographagnosia)
- Ulwazi olunzima lokucubungula oluzwayo (i-central auditory processing disorder)
- Izinkinga zokucubungula izinombolo noma izibalo (i-dyscalculia)
Ukukhathala nokuphazamiseka kokulala
Ukukhathala kungenye yezimpawu eziphawuleka kakhulu ze-fibromyalgia, okuphazamisa abane abanezinkinga eziyisihlanu
Lokhu kungaphezu kokukhathala nje; Kuyinto ukukhathala okuqhubekayo okuhluleka ukuthuthukisa naphezu kokuphumula. Ukukhathala okungapheli akuhlanganisi kuphela imizwa yokufiphaza nokudangala, kubangele izinga eliphezulu lokucindezeleka kubantu abaphila nalesi sifo. Akumangalisi ukuthi i-fibromyalgia ihlotshaniswa kakhulu ne- chronic fatigue syndrome (i-CFS) , kokubili okwaba nezimpawu ezifanayo.
Ukukhathala okuhlobene ne-Fibromyalgia kuvame ukuhambisana nezinkinga zokulala, ukuhlanganiswa okuyikho konke okuqinisekisiwe ukukushiya ukhathele futhi ukhishwe. Ngenkathi amaphethini okukhubazeka ahlukahluka komunye nomuntu, ngokuvamile abonakala ngokulala okungapheli .
Izimpawu zingafaka:
- Ukukhanya noma ukulala njalo
- Ukulala kuqala (ama-hypnic jerks)
- I-apnea yokulala yokuvimbela
- I-restless leg syndrome (RLS)
- Ukungalali
Izimpawu Neurosensory
Lezi zibonakaliso ze-neurosensory zifana nobuhlungu ngoba lokho kungase kube okujwayelekile, kodwa impendulo yethu yobuchopho kubo ayikho. Ngenkathi imbangela ingacacisiswanga kahle, izimpawu zikholelwa ngokuyinhloko ngokungahambi kahle kwezithunywa zamakhemikhali ezibizwa ngokuthi i-neurotransmitters kanye nokweqileka kwemigwaqo ethile.
Phakathi kwezibonakaliso:
- Izinsizwa
- Migraines engapheli
- Isizungu nesitimela
- Ukuphoqa (i-syncope)
- Ukuzwela ukushisa , umswakama, nomfutho we-atmospheric
- Ukuzwela ukukhanya (photophobia)
- Ukuzwela komsindo (hyperacusis)
- Ukuzwela ukuphunga (hyperosmia)
Izimpawu ze-digestive ne-Urinary
Izinkinga zokugaya izifo zivame kubantu abano-fibromyalgia, kanti amaphesenti angama-50 atholakala anezimpawu zesifo se-bowel syndrome (i-IBS) esicasulayo . Njenge-fibromyalgia, i-IBS ikholelwa ukuthi ibangelwa ukuphendula okungavamile kwesimiso sezinzwa zesisindo. Abantu abane-fibromyalgia nabo bazovame ukuba ne- cystitis yangaphakathi (IC) , isimo esibangela ubuhlungu obungapheliyo esifubeni.
Izimpawu zingafaka:
- Ukuvimbela
- I-nausea
- Izikhwama zomzimba
- Uhudo
- Ukuqokwa
- Ukuzithoba
- Ukudlula kwegesi njalo
- Kunzima ukugwinya (dysphagia)
- Ukuvuthwa njalo
- Kudingeka njalo ukuchama (ukuphuthuma komchamo)
- Ubuhlungu ngesikhathi sokuchama (i-dysuria)
- I-spasms yesinye
Izimpawu zengqondo
I-Fibromyalgia kanye nokucindezeleka kuhlobene kakhulu nabaningi abangamaphesenti angu-86 abahluphekile abalindeleke ukuthi babe nesigameko esikhulu sokucindezeleka ngesikhathi esithile empilweni yabo, ngokusho kocwaningo oluvela eNyuvesi yaseNorth Carolina.
Nakuba kungase kube kuhle ukucabanga ukuthi umthelela wesikhathi eside womzwelo we-fibromyalgia kungenzeka ube enhliziyweni yezimpawu zengqondo, ezinye aziqiniseki kanjalo. Abanye ososayensi bakholelwa ukuthi izimpawu zingase zibe yingxenye ethile, ekuyingeneni, ekusetshenzisweni kwezifo ohlelweni lwezinzwa ezisemkhatsini, okungukuthi i- neurotransmitter dysregulation .
Ngaphezu kokucindezeleka, ezinye izimpawu zingabandakanya:
- Ukukhathazeka noma ukuhlaselwa kwesaba
- Ukukhathazeka kwamahhala (ukukhathazeka okujwayelekile)
- I-Mood iyashintsha
- Ukuthukuthela okungenakutholakali
Izimpawu Zokuzala
Ama-hormone akholelwa ukuthi adlala indima-futhi-effect e-fibromyalgia. Ngakolunye uhlangothi, kukholwa ukuthi ama-hormone aqala izimpawu zesifo (njengoba kuboniswa abesifazane abanobuhlungu phakathi nezikhathi zabo). Ngakolunye uhlangothi, i-fibromyalgia ingabangela ukungalingani kwe-hormonal okudala izimpawu zokuzala, ikakhulukazi kwabesifazane .
Izimpawu zingafaka:
- Izikhathi ezibuhlungu kakhulu
- Ubuhlungu be-pelvic
- Ubuhlungu obungapheliyo we-vulva (vulvodynia)
- Ukuyeka esikhathini sokuqala (ukuhluleka kwe-ovarian ngaphambi kwesikhathi)
Nakuba ukulahleka kobulili, ukungabi namandla nokungasebenzi kahle kwe-erectile nakho kuvamile kubantu abane fibromyalgia, bakholelwa ukuthi kuhlobene nokucindezeleka nokukhathazeka kunokuba isifo ngokwaso.
Izimpawu Zesikhumba Nezipikili
Ubuhlungu nemiphumela emizwa esiyithola nge-fibromyalgia ngezinye izikhathi zingabonakalisa ngokomzimba nezimpawu ezithinta isikhumba, izipikili nezinwele. Eziningi zazo ziyi-idiopathic, okusho ukuthi imbangela yabo ayiziwa.
Izimpawu zihlanganisa:
- Ukulahleka kwezinwele okwesikhashana
- Amemezele izigqoko ze-nail
- Ama-fingernail kanye nezinsipho ezijika ngaphansi
- Ukwehla okulula noma ukukhwabanisa
- Ukugqama kwesisindo somzimba ( lipomas )
Nini Ukubona Udokotela
I-Fibromyalgia yisifo esinzima kakhulu ukuthi ngokuvamile kunzima ukwazi ukuthi ufuna nini ukunakekelwa noma ngisho nokuthi ungachaza kanjani udokotela wakho. Qala ngokuzikhumbuza ukuthi noma yini oyithandayo ingokoqobo. Leli qiniso elingase lingenzi nhlobo lingenalo umphumela uma uhlupheka.
Ekugcineni, unganqikazi ukubona udokotela uma ubona ezinye noma zonke izimpawu ezilandelayo.
- Unezinhlungu ezingapheli, ezinzima, noma eziphindaphindiwe eziphazamisa impilo yakho yansuku zonke.
- Ubuhlungu bubangela ukucindezeleka ngokomzwelo, ukukhathazeka, noma ukucindezeleka.
- Uyakhathazeka njalo futhi / noma ukulala okungapheli.
- Awukwazi ukugxila noma ucabange ngokucacile.
- Uma uhamba nezimpawu ezikukhathazayo.
Uma ubona udokotela, kubalulekile ukuthi ungashiyi noma yimiphi imininingwana noma ugxile kumpawu "ezinkulu" kuphela. Ukwenza kanjalo kungaholela udokotela ngendlela engafanele. Ngokudweba isithombe esiphelele, udokotela uzohlomele kangcono ukufika ezansi zezimpawu zakho.
Uma udokotela wakho engaziqondi ngokwanele mayelana ne-fibromyalgia, yenza isikhathi sokubonana nomchwepheshe owaziwa ngokuthi yi- rheumatologist ogxile kwizifo ze-musculoskeletal and autoimmune. Ungathola isazi esiqinisekisiwe ebhodini endaweni yakho ngokusebenzisa i-locator enthanethi ephethwe yi-American College of Rheumatology.
> Imithombo:
> Bellato, E .; I-Marini, E .; Castoldi, F. et al. I-Fibromyalgia Syndrome: i-Etiology, i-Pathogenesis, i-diagnosis, ne-Treatment. Ukuphathwa Kwezinhlungu. 2012; 2012: 426130. DOI: 10.1155 / 2012/426130.
> Ngokuhle. R .; Ceko, M .; kanye noBushnell, uMnu Fibromyalgia kanye Nokucindezeleka. Ukuphathwa Kwezinhlungu. 2012; 2012: 486590. I-DOI: 10.1155 / 2012/486590.